Individual
MARVIN JAMES LOPEZ BARRUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
850 S ATLANTIC BLVD STE 201, MONTEREY PARK, CA 91754-6705
(909) 570-9108
(909) 570-9334
Mailing address
PO BOX 4259, CERRITOS, CA 90703-4259
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA 2607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ236442Z
PPIN
—
Enumeration date
10/25/2006
Last updated
06/03/2025
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